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General NPI Number Information
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NPI Number | 1093245516
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Entity Type | Individual
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Provider Name | EKTA MAHESHWARI
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Gender | Female
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Dates
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Enumeration Date | 06/18/2017
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Last Update Date | 06/17/2021
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Provider Practice Location Address
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Address Line | 4301 W MARKHAM ST DEPARTMENT OF RADIOLOGY # 556 UAMS
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City | LITTLE ROCK
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State | AR
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Zip | 72205-7101
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Country | US
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Telephone | 416-580-1991
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Fax |
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Provider Business Mailing Address
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Address Line | DEPARTMENT OF R ADIOLOGY # 556 UAMS 4301 WEST MARKHAM STREET
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City | LITTLE ROCK
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State | AR
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Zip | 72205
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | E10313
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License Number State | AR
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